青少年非理性信念与应激对抑郁症状预测研究  

Prediction of depression symptoms based on irrational belief and life stress in adolescents

作　　者：陈学彬[1] 梁妍 刘琦[1] 王文[1] 杨静[1] 

机构地区：[1]兰州大学第一医院心理卫生科 甘肃省心理卫生研究所,730000 [2]甘肃省武警森林总队心理咨询室

出　　处：《临床精神医学杂志》2012年第5期298-301,共4页Journal of Clinical Psychiatry

基　　金：兰州市科技发展计划资助项目(2010-1-111)

摘　　要：目的:探讨青少年非理性信念与生活应激对抑郁症状的影响。方法:采用Beck抑郁自评问卷(BDI-II)、中学生非理性信念量表(MIBS)和中学生心理应激源量表(SSMSS)等自评量表对649名中学生进行问卷调查,每2个月1次对生活应激和抑郁症状进行追踪测评,追踪为期1年完成6次测评,采用多层线性模型进行数据分析。结果:非理性信念与抑郁症状(r=0.53,P<0.001)、生活应激水平(r=0.31,P<0.001)之间存在显著的正相关;多层线性模型分析表明,非理性信念[β=1.76,t(1629)=7.811,P<0.001]和生活应激水平[β=0.13,t(12635)=7.056,P<0.001]对青少年抑郁症状预测的主效应均显著,非理性信念与生活应激水平共同预测青少年抑郁症状的交互作用显著[β=0.04,t(12635)=4.173,P<0.001];随着生活应激水平增加,高非理性信念水平[β=0.07,t(2635)=7.484,P<0.001]青少年的抑郁症状水平比低非理性信念组[β=0.01,t(2635)=0.871,P>0.05]明显增加。结论:非理性信念在生活应激中能够预测青少年抑郁症状的发生和变化。Objective：To explore the impact of irrational belief and life stress on depressive symptoms in adolescents.Method：649 middle school students were sampled and investigated using the Beck depression inventory-Ⅱ （BDI-Ⅱ）,the middle-school students＇ irrational belief scale （MIBS） and stressor scale for middle school students （SSMSS）.Life stress and depressive symptoms of each subject were evaluated every two months and the evaluation lasted for a year.The data were analyzed with Hierarchical Linear Model.Results：Irrational belief has significant positive correlation with depressive symptoms （r=0.53,P0.001） and life stress （r=0.31,P0.001）;The analysis of the Hierarchical Linear Modeling indicated that the main effect of irrational belief[β=1.76,t（1629）=7.811,P0.001] and life stress [β= 0.13,t（12635）=7.056,P0.001] on adolescents depressive symptoms was significant,the interaction effect of irrational belief and life stress on adolescents depressive symptoms was significant [β=0.04,t（12635） =4.173,P0.001];the adolescents with higher irrational belief [β=0.07,t（2635）=7.484,P0.001] showed higher score in depressive symptom than those with low irrational belief[β=0.01,t（2635）=0.871,P0.05].Conclusion：The irrational belief can predict depressive symptoms of the adolescents according to the life stress.

关 键 词：非理性信念 抑郁症状 应激 多层线性模型 青少年 

分 类 号：R749.4[医药卫生—神经病学与精神病学]